Active NPI
Darshana Kneebone
- Psychologist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1912362567
- Practice address
- 9888 Carroll Centre Rd Ste 218
San Diego, CA 92126-4515 - Phone
- (858) 935-9104
- NPI assigned
- Jan 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NPF95016325 | CA | |
| Psychologist | 103T00000X | 1912362567 | CA | Primary |
Addresses
Primary practice location
9888 Carroll Centre Rd Ste 218
San Diego, CA 92126-4515
Mailing address
2228 Penrose St
San Diego, CA 92110-2351
Phone (619) 865-0214
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | EPIC | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14850 Roscoe Blvd
Panorama City, CA 91402-4618
Phone (818) 787-2222
4283 El Cajon Blvd
Suite 115
San Diego, CA 92105-1289
Phone (619) 521-1743
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1912362567 | CA | MD | Psychologist |
| NPF95016325 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Systems, Inc. | Current | Accepting new patients | |
| Mental Health Systems, Inc. | Current | Accepting new patients | |
| Alliance for Wellness, Inc. | Psychiatric/Mental Health | Current | Accepting new patients |
| Sanjoy Sathpathy, M.D. Inc, | Current | Accepting new patients | |
| Tamika Henry MD Inc | Past | Accepting new patients |
Locations
16260 Ventura Blvd
Ste 630
Encino, CA 91436
Phone (747) 264-9201
2355 23rd St
Eureka, CA 95501
Phone (747) 998-0387
9250 Reseda Blvd
Ste 658
Northridge, CA 91324
4283 El Cajon Blvd
Ste 115
San Diego, CA 92105
Phone (619) 521-1743
9888 Carroll Centre Rd
Ste 218
San Diego, CA 92126
Phone (858) 750-9990
9465 Farnham St
San Diego, CA 92123
Phone (858) 576-4311
14850 Roscoe Blvd
Van Nuys, CA 91402
Phone (818) 787-2222
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Inglewood, CA
- NPI 1124329131
Psychiatric/Mental Health
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1760431670
-
- Community/Behavioral Health Agency
- Fresno, CA
- NPI 1720745169
-
- Addiction Psychiatry Physician
- San Diego, CA
- NPI 1912362567
-
- Family Medicine Physician
- Glendale, CA
- NPI 1770381436
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Palomar Medical Center Escondido
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639612800000",
"number": "1811588189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2228 PENROSE ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921102351",
"telephone_number": "619-865-0214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9888 CARROLL CENTRE RD STE 218",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921264515",
"telephone_number": "858-935-9104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNEEBONE",
"first_name": "DARSHANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-29",
"last_updated": "2021-12-16",
"certification_date": "2021-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "NPF95016325",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "1912362567",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "EPIC",
"affiliation": "N",
"endpointDescription": "Electronic Medial Health System",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "9888 Carroll Centre Rd Ste 218",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921264515",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.